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General NPI Number Information
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NPI Number | 1417738667
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Entity Type | Organization
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Legal Business Name | QUICK RIDES CA
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Dates
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Enumeration Date | 10/12/2023
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Last Update Date | 10/12/2023
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Provider Practice Location Address
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Address Line | 1001 LOCUST DR
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City | VALLEJO
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State | CA
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Zip | 94591-4343
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Country | US
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Telephone | 650-296-9171
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 LOCUST DR
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City | VALLEJO
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State | CA
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Zip | 94591-4343
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Country | US
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Telephone | 650-296-9171
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Fax |
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Authorized Official
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Title or Position | OWNERA
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Name | JACQUELINE L BUTLER
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Credential |
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Telephone | 650-296-9171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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License Number |
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License Number State |
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